| Code | Description | Claims | Beneficiaries | Total Paid |
| 0450 |
|
60,426 |
54,959 |
$2.33M |
| 74176 |
|
6,468 |
6,268 |
$765K |
| 70450 |
|
6,405 |
6,231 |
$625K |
| Z7502 |
|
14,298 |
14,037 |
$527K |
| 99281 |
|
10,621 |
9,704 |
$484K |
| 80053 |
|
19,835 |
18,408 |
$263K |
| 93005 |
|
13,034 |
12,252 |
$260K |
| 99199 |
|
7,170 |
6,667 |
$256K |
| U0003 |
Cov-19 amp prb hgh thruput |
3,925 |
3,746 |
$216K |
| 96374 |
|
5,012 |
4,817 |
$210K |
| 71045 |
|
15,507 |
14,842 |
$177K |
| 96372 |
|
8,438 |
8,046 |
$172K |
| 85025 |
|
23,720 |
21,780 |
$160K |
| J3490 |
Drugs unclassified injection |
23,400 |
11,465 |
$157K |
| G0480 |
Drug test def 1-7 classes |
3,027 |
2,676 |
$149K |
| 96365 |
|
2,701 |
2,632 |
$146K |
| 72125 |
|
1,166 |
1,127 |
$135K |
| 76700 |
|
2,087 |
2,050 |
$125K |
| 96375 |
|
4,240 |
4,089 |
$125K |
| Z7610 |
|
8,697 |
5,496 |
$119K |
| 99283 |
|
1,276 |
1,220 |
$87K |
| 0250 |
|
15,624 |
8,971 |
$75K |
| 84484 |
|
9,130 |
8,445 |
$73K |
| 80306 |
|
4,906 |
4,740 |
$73K |
| 96360 |
|
1,600 |
1,568 |
$72K |
| 96361 |
|
3,918 |
3,802 |
$65K |
| 0270 |
|
14,747 |
8,013 |
$63K |
| 80307 |
|
1,877 |
1,813 |
$59K |
| 83690 |
|
9,527 |
9,034 |
$55K |
| 81001 |
|
15,059 |
14,489 |
$51K |
| J7030 |
Normal saline solution infus |
6,167 |
5,807 |
$47K |
| 0301 |
|
831 |
766 |
$44K |
| 99284 |
|
415 |
383 |
$40K |
| 83735 |
|
6,937 |
6,599 |
$40K |
| 80048 |
|
3,581 |
3,390 |
$38K |
| 84703 |
|
4,773 |
4,598 |
$37K |
| 83880 |
|
2,171 |
2,024 |
$36K |
| 90715 |
|
1,183 |
1,172 |
$36K |
| J1885 |
Ketorolac tromethamine inj |
6,626 |
6,318 |
$31K |
| 87040 |
|
1,867 |
1,816 |
$31K |
| 74018 |
|
1,073 |
1,055 |
$31K |
| 87088 |
|
7,881 |
7,610 |
$30K |
| G0481 |
Drug test def 8-14 classes |
285 |
209 |
$26K |
| 73610 |
|
1,288 |
1,271 |
$26K |
| 87804 |
|
2,418 |
2,364 |
$26K |
| 74177 |
|
135 |
132 |
$24K |
| 76705 |
|
546 |
540 |
$23K |
| 73630 |
|
1,196 |
1,185 |
$22K |
| 94640 |
|
1,548 |
1,415 |
$22K |
| 0272 |
|
3,628 |
3,305 |
$21K |
| 73130 |
|
845 |
835 |
$20K |
| 70486 |
|
161 |
160 |
$19K |
| 73030 |
|
954 |
938 |
$19K |
| 76856 |
|
419 |
414 |
$19K |
| J0696 |
Ceftriaxone sodium injection |
2,821 |
2,700 |
$17K |
| 72100 |
|
669 |
664 |
$16K |
| 0271 |
|
3,948 |
3,468 |
$16K |
| J2270 |
Morphine sulfate injection |
2,292 |
1,992 |
$15K |
| 85730 |
|
2,934 |
2,849 |
$14K |
| 93971 |
|
175 |
169 |
$14K |
| J2405 |
Ondansetron hcl injection |
3,363 |
3,168 |
$13K |
| 83605 |
|
1,655 |
1,566 |
$13K |
| 82948 |
|
2,227 |
1,886 |
$12K |
| 84443 |
|
1,057 |
1,032 |
$12K |
| 85610 |
|
2,956 |
2,858 |
$12K |
| 87635 |
|
266 |
257 |
$12K |
| 94660 |
|
219 |
213 |
$10K |
| 73564 |
|
419 |
417 |
$10K |
| 82550 |
|
1,911 |
1,837 |
$9K |
| 76801 |
|
158 |
145 |
$9K |
| 85379 |
|
1,186 |
1,155 |
$8K |
| 0360 |
|
43 |
31 |
$8K |
| 87186 |
|
1,413 |
1,383 |
$8K |
| A4649 |
Surgical supplies |
1,857 |
941 |
$8K |
| J2060 |
Lorazepam injection |
1,338 |
1,201 |
$8K |
| 73560 |
|
442 |
439 |
$8K |
| J1100 |
Dexamethasone sodium phos |
1,710 |
1,679 |
$7K |
| J1815 |
Insulin injection |
536 |
463 |
$6K |
| 84702 |
|
469 |
423 |
$6K |
| 73110 |
|
278 |
277 |
$6K |
| J2765 |
Metoclopramide hcl injection |
1,201 |
1,166 |
$6K |
| U0002 |
Covid-19 lab test non-cdc |
136 |
132 |
$5K |
| 71046 |
|
272 |
268 |
$5K |
| 72131 |
|
37 |
37 |
$5K |
| 85027 |
|
1,098 |
1,048 |
$5K |
| J1200 |
Diphenhydramine hcl injectio |
1,094 |
1,007 |
$5K |
| 99291 |
|
27 |
27 |
$4K |
| 87071 |
|
1,387 |
1,358 |
$4K |
| 71275 |
|
29 |
27 |
$4K |
| 0710 |
|
52 |
48 |
$4K |
| 87491 |
|
117 |
115 |
$4K |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
802 |
789 |
$4K |
| 82248 |
|
1,057 |
971 |
$3K |
| 90471 |
|
746 |
739 |
$3K |
| S0164 |
Injection pantroprazole |
362 |
320 |
$3K |
| 87420 |
|
450 |
440 |
$3K |
| 81003 |
|
975 |
938 |
$2K |
| 96366 |
|
82 |
81 |
$2K |
| 82805 |
|
153 |
149 |
$2K |
| 94664 |
|
301 |
284 |
$2K |
| J7060 |
5% dextrose/water |
435 |
362 |
$2K |
| 99282 |
|
104 |
103 |
$2K |
| 12001 |
|
69 |
68 |
$2K |
| 85007 |
|
932 |
895 |
$2K |
| 86901 |
|
508 |
495 |
$2K |
| J2930 |
Methylprednisolone injection |
224 |
210 |
$2K |
| J7040 |
Normal saline solution infus |
443 |
426 |
$2K |
| 93970 |
|
15 |
15 |
$2K |
| 73080 |
|
90 |
90 |
$2K |
| 0762 |
|
41 |
39 |
$2K |
| 71010 |
|
73 |
56 |
$1K |
| 96367 |
|
39 |
38 |
$1K |
| 36415 |
|
1,223 |
1,082 |
$940.58 |
| J1630 |
Haloperidol injection |
199 |
160 |
$803.95 |
| 29126 |
|
54 |
52 |
$779.83 |
| 36600 |
|
221 |
216 |
$774.60 |
| 82150 |
|
140 |
135 |
$706.41 |
| Z9725 |
|
16 |
16 |
$688.48 |
| 93041 |
|
112 |
100 |
$587.40 |
| 73140 |
|
77 |
77 |
$576.70 |
| J7613 |
Albuterol non-comp unit |
1,231 |
1,130 |
$576.36 |
| 73590 |
|
39 |
38 |
$533.16 |
| 86738 |
|
49 |
49 |
$374.77 |
| 76811 |
|
13 |
12 |
$370.80 |
| J2919 |
Inj, methylpred sod succ 5mg |
113 |
88 |
$368.92 |
| 80061 |
|
76 |
71 |
$368.06 |
| 29131 |
|
27 |
27 |
$363.62 |
| J2543 |
Piperacillin/tazobactam |
19 |
12 |
$322.88 |
| 0320 |
|
66 |
65 |
$286.24 |
| 87591 |
|
28 |
28 |
$276.60 |
| J2470 |
Inj pantoprazole sodium 40mg |
95 |
67 |
$271.55 |
| 86900 |
|
96 |
94 |
$258.67 |
| 76937 |
|
13 |
13 |
$239.32 |
| 72040 |
|
14 |
14 |
$233.80 |
| 80320 |
|
28 |
27 |
$220.50 |
| 99070 |
|
76 |
34 |
$191.74 |
| J1644 |
Inj heparin sodium per 1000u |
75 |
38 |
$189.21 |
| J2704 |
Inj, propofol, 10 mg |
33 |
31 |
$169.13 |
| 29515 |
|
12 |
12 |
$142.32 |
| 73090 |
|
12 |
12 |
$127.27 |
| J0360 |
Hydralazine hcl injection |
15 |
12 |
$84.64 |
| J3010 |
Fentanyl citrate injection |
33 |
30 |
$80.36 |
| 96376 |
|
14 |
13 |
$78.90 |
| J7050 |
Normal saline solution infus |
16 |
15 |
$76.64 |
| 83036 |
|
16 |
15 |
$59.75 |
| 82009 |
|
17 |
14 |
$54.70 |
| 87070 |
|
13 |
13 |
$49.99 |
| J2250 |
Inj midazolam hydrochloride |
14 |
14 |
$48.86 |
| 86140 |
|
16 |
14 |
$43.96 |
| J7644 |
Ipratropium bromide non-comp |
35 |
30 |
$3.86 |
| A0425 |
Ground mileage |
201 |
179 |
$0.00 |
| 0637 |
|
189 |
56 |
$0.00 |
| A0424 |
Extra ambulance attendant |
46 |
42 |
$0.00 |
| E0601 |
Cont airway pressure device |
83 |
83 |
$0.00 |
| 0760 |
|
18 |
18 |
$0.00 |
| A0429 |
Bls-emergency |
50 |
49 |
$0.00 |
| A0398 |
Als routine disposble suppls |
31 |
30 |
$0.00 |
| E0562 |
Humidifier heated used w pap |
124 |
124 |
$0.00 |
| A0427 |
Als1-emergency |
71 |
67 |
$0.00 |
| A0999 |
Unlisted ambulance service |
30 |
29 |
$0.00 |